Provider Demographics
NPI:1518039825
Name:ZARRAGA, CYNTHIA G (MD)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:G
Last Name:ZARRAGA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CYNTHIA
Other - Middle Name:G
Other - Last Name:ZARRAGA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:640 S. STATE STREET
Mailing Address - Street 2:MC 3055
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19901
Mailing Address - Country:US
Mailing Address - Phone:302-480-1688
Mailing Address - Fax:302-480-9807
Practice Address - Street 1:101 WELLNESS WAY STE 200
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:DE
Practice Address - Zip Code:19963-4366
Practice Address - Country:US
Practice Address - Phone:302-430-0867
Practice Address - Fax:302-430-0421
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2020-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DECL0004035207RP1001X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE510401PULOtherBCBS SPECIALIST
DE4221560OtherAETNA
DEF02154OtherBCBS DE
898340OtherAETUS
DE882214OtherOPTIMUM CHOICE
DE0000463201Medicaid
DE00A052Z56OtherMEDICARE
DE103068OtherCOVENTRY
F02154Medicare UPIN